A patient who was stranded during a snowstorm is admitted for ...

[justinmsk]

A patient who was stranded during a snowstorm is admitted for frostbite of the fingers and toes. Which actions should the nurse expect to perform for this patient?
 
  Select all that apply.
 
  1. Elevate the feet and hands.
  2. Provide pain medication as prescribed.
  3. Apply elastic compression bandages to the feet and hands.
  4. Massage the fingers and toes for 10 minutes after warming.
  5. Warm the digits with circulating water for 20 to 30 minutes.

Question 2

A patient is being scheduled for diagnostic tests to determine the presence of pemphigus vulgaris. Which tests should the nurse expect to schedule for this patient?
 
  Select all that apply.
 
  1. curettage
  2. skin biopsy
  3. Wood's lamp
  4. Mohs procedure
  5. immunofluorescence microscopy

[verrinzo]

Answer to Question 1

Correct Answer: 1, 2, 5
In the treatment of frostbite, after rewarming the affected parts, they should be elevated. Pain medications are provided as prescribed. Rapidly rewarm affected areas in circulating warm water, 40 to 40.5C (104 to 105F) for 20 to 30 minutes. Elastic compression bandages are not used in the treatment of frostbite. The affected areas should not be massaged.

Answer to Question 2

Correct Answer: 2, 5
Pemphigus vulgaris is diagnosed by diagnostic tests including immunofluorescence microscopy, which is done to identify the presence of IgG antibodies in the epidermis and serum, and skin biopsy to determine the presence of acantholysis. Curettage is a method to treat skin cancer. Wood's lamp is a diagnostic test for fungal infections. Mohs procedure is a method to treat skin cancer.

[justinmsk]

Thank you

[verrinzo]

No problemo